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Organization

BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS

Active
Parent organization
BANNER HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 239-2000
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
01/23/2007
Last updated
12/23/2021
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